Chronic Disease Coach

Chronic Disease Coach

Location:

Columbia, SC 29229

Work Environment:
Remote (after 4-6 weeks onsite training)

Schedule:

Mon-Fri, 8:30 am to 5:00 pm

Contract length: 3-month assignment with possible conversion.

Provide support to members for disease prevention and healthy promotion. Empower members to achieve optimal health and wellness by providing personalized guidance, education, and support. This role collaborates with individuals to set and reach health goals, navigate the healthcare system, and make informed decisions about their well-being within the context of their health plan benefits.

• 60% Assess for needs related to a member's chronic condition, clinical risk and readiness for change via company needs questionnaire. Based on the needs assessment, complete and coordinate action plans in cooperation with members, then implement plans to include member goals. Provides member‑centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to elicit behavior change and increase member program engagement.
• 20% Participate in patient education with members and providers regarding the member's condition and available benefit plans. Serve as member advocate through continued communication and education. Promote enrollment in health and chronic condition management programs.
• 10% Provide appropriate communications (written, telephone) regarding member conditions to both health care providers and members.
• 5% Participate in data collection/input into system for clinical information flow. Demonstrate compliance with all applicable legislation and guidelines for all regulatory bodies, which may include but is not limited to ERISA, NCQA, URAC, DOI (State), and DOL (Federal).
• 5% Maintain current knowledge of network status of all service providers to educate members on care they may receive related to their chronic condition(s). Assist members with referrals to appropriate internal support areas to ensure proper processing of authorized or unauthorized services, as needed.

Employee may work from home. May involve some travel within one's community.

Required

Education:

Associate's in job related field

Degree Equivalency: Graduate of Accredited School of Nursing or graduate of a health‑related degree or 2 years job related work experience

Required Experience: 3 years of professional health and wellness experience

Required License/Certificate: Within 4 years of hire, must get certification in health coaching (ex: National Board Certified Health and Wellness Coach).

Preferred Education: Bachelor's degree in health‑related field (e.g. Nursing, Social Work, Health Ed, Wellness, Health Promotion, Behavioral Health)

Preferred

Work experience:

5 years - healthcare management

Preferred Specialized Training: Health Coaching Certification